Organization
MARSHALL COUNTY ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JOHNSON (BILLING AGENCY)
(270) 382-3112
Entity
Organization
Contact information
Practice address
615 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-4800
Mailing address
PO BOX 15, LYNNVILLE, KY 42063-0015
(270) 382-3112
(270) 382-3112
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
034465
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000703294
BLUE CROSS AND BLUE SHIELD
—
05
—
7100154520
—
KY
Enumeration date
03/03/2011
Last updated
04/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us